Lincoln University
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OFFICE OF REISDENCE LIFE
CONTRACT ACCEPTANCE FORM
2013-2014
PLEASE PRINT
Name: _______________________________________________________ Student ID # ___________________________________
Gender: ______________________________ Date of Birth: _____/_____/______
Home Address: ___________________________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________________________
Home Phone #: ________________________________ Alternate Phone #: _________________________________
Building & Room Assignment: _______________________________________________________________________
Room Type: Double Single
|By completing and submitting this form, you are consenting to be legally bound to your housing contract for one (1) full academic year. By signing this contract, |
|you are consenting to the terms and conditions of the 2013-2014 Residence Hall Contract, Policies and Procedures if you are granted on-campus accommodations. |
|Completing this form does not guarantee you a space on campus. ALL STUDENTS ARE REQUIRED TO READ HOUSING CONTRACT IN THE STUDENT HANDBOOK. For all students under |
|the age of 18, parents are required to read the Residence Hall Contract and sign the Contract Acceptance Form. |
| |
|My signature below certifies that I have read the Residence Hall Contract located in the Lincoln University Student Handbook. I understand that I am responsible |
|for adhering to the guidelines in the contract. I further agree to abide by University and Residence Life policies, regulations and financial obligations related |
|to residing on the campus of The Lincoln University. |
_____________________________________________ _____________________________________________
Student Signature Parent’s Signature
_____________________________________________ _____________________________________________
Resident Hall Coordinator Signature Date
................
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